Page 2 of Best Nursing Homes in Springfield, MO

Spring Valley Health and Rehabilitation Center operates a 194-bed nursing facility at 2915 South Fremont Avenue in Springfield’s Greene County. The facility is administered by Holly Anderson under ownership by MC Fremont Healthcare, LLC. It accommodates Medicare, Medicaid, and private-pay residents and maintains an occupancy rate of 80%, notably above the Missouri state average of 66.6%.

Spring Valley carries a 2-star overall CMS rating. The health inspection rating is 1 star, placing the facility 65.5% below the Missouri average. Its deficiency record since 2018 totals 78 citations; 123% above the typical Missouri nursing home.

Inspections conducted in August and November 2025 identified medication documentation errors, tube feeding care deficiencies, and environmental sanitation failures. A medication error rate of 20% was documented in the August 2025 investigation. The facility’s record includes two substantiated abuse-related deficiencies: failure to timely report a sexual abuse allegation in January 2024 and failure to timely report and investigate a physical abuse allegation in January 2025.

Total adjusted nursing hours average 2 hours 4 minutes per resident daily; 45% below the Missouri standard and the lowest-ranked measure among 276 state facilities. Registered nurse coverage runs 20 minutes per day (29% below average), licensed practical nurse coverage 35 minutes (15% below average), and certified nurse aide hours 1 hour 52 minutes (20% below average).

The facility’s payroll represents 38.5% of revenue, ranked among the lowest one percent statewide.

The facility scored 5 stars for quality measures, 79.2% above state average. Long-stay residents show lower hospitalization and emergency department utilization rates than peers. Yet 78.2% of long-stay residents are documented with depressive symptoms; 509% worse than the state average. Vaccination rates for influenza and pneumococcal coverage fall below state benchmarks.

The facility operates memory care and hospice services and accepts short-stay rehabilitation and long-term care residents on a mixed medical acuity model.

Overview of James River Nursing and Rehabilitation

James River Nursing and Rehabilitation is a 120-bed skilled nursing facility at 3550 East Battlefield, Springfield, Greene County, Missouri, operated by Jrnrc Ops Inc under the administration of Kelsey Long. The facility provides short-term rehabilitation, long-term care, and respite care for Medicare, Medicaid, and private-pay residents.

The most significant finding in the recent inspection record is a November 2025 complaint investigation that revealed systemic problems with basic hygiene and staff scheduling. Prior complaint investigation in July 2024 identified 18 deficiencies across multiple categories. A health inspection in July 2024 found 7 deficiencies. The September 2022 health inspection documented failures to post daily nurse staffing information prominently and deficiencies in food storage protocols.

The facility remains subject to ongoing compliance monitoring.

LPNs provide 48 minutes/resident/day, 17% above the average of 41 minutes. Registered Nurses provide only 21 minutes/resident/day, 25% below the average of 28 minutes. Certified Nursing Aides provide 2 hours 15 minutes/resident/day, 3% below average. Weekend nursing total drops to 2 hours 35 minutes/resident/day, 15% below the average of 3 hours 3 minutes.

Weekend RN coverage falls to 12 minutes/resident/day, 40% below the average of 20 minutes. Physical therapy is minimal at 1 minute/resident/day, 50% below the average of 2 minutes.

The payroll ratio of 43.9% to revenue falls well below the 60-71% range considered adequate for Missouri SNFs.

Long-stay hospitalization rates are concerning at 3.61/1,000 resident days, 74% worse than the average of 2.08/1,000 days. Pressure ulcer rates in high-risk long-stay residents stand at 7.8%, 56% worse than the average of 5.0%. Long-stay emergency department visits are 1.92/1,000 resident days, 18% better than average. Falls with major injury affect 3.3% of long-stay residents, 18% better than the average of 4.0%.

Pneumococcal and influenza vaccination rates for long-stay residents reach 99.7% and 100% respectively, both significantly above average. Short-stay residents show discharge functional ability in 60.8% of cases, 13% better than the average. Short-stay re-hospitalization is 27.2%, 8% worse than the average of 25.3%.

CMS rates the facility 3 stars overall, placing it 14.1% above the Missouri average. Health Inspection is rated 3/5, marginally above average. The standout strength is Staffing, rated 5/5 and 38.9% above average. Quality Measures are rated 5/5, 43.4% above state average.

The facility provides 24-hour staffing with licensed nurses and certified nursing assistants on site. Therapeutic services include rehabilitation services and physical therapy. Resident amenities include a communal dining space, activity area, outdoor courtyard with gazebo, therapy gym, and salon services.

James River Nursing and Rehabilitation holds a A+ rating from the Better Business Bureau and occupies a highly walkable neighborhood with a walk score of 94.

Occupancy is strong at 83%, 25% above the Missouri average, with 64.4% of current residents on Medicaid.

The facility has been in operation for 26 years and maintains 120 licensed beds. No civil money penalties or payment denials were reported in the past three years.

Families evaluating James River should scrutinize the November 2025 complaint findings regarding shower frequency and staffing adequacy and assess weekend RN coverage.

Overview of Springfield Skilled Care Center

Begin your healing journey with the outstanding senior living community of Springfield Skilled Care Center in West Grand, Springfield, MO, providing long-term care and short-term rehabilitation. The community features 120 cozy and warm accommodations for seniors to enjoy unparalleled comfort and convenience. A team of qualified and specially trained professionals cares for seniors’ special needs and aspirations.

The community accepts Medicare and Medicaid to ease financial constraints. Alzheimer’s care is also provided for individuals with memory-related needs. Experience the utmost care and support you deserve with a reliable community. Springfield Skilled Care Center is ideal for seniors aiming to make the most out of their best years with its exceptional services.

Overview of Springfield Villa

Springfield Villa is a skilled nursing home located at 1100 East Montclair in Springfield, Missouri. The facility is operated by N & R of Springfield Montclair, LLC, and is administered by Clinton Graves. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover short-term rehabilitation and longer-term care. The surrounding neighborhood has a Walk Score of 94, so it’s highly walkable and convenient for residents and visiting family members.

The 146-bed home is a moderately sized community. It has an occupancy rate of 84%. Residents stay an average of 124 days, including those under post-acute rehabilitation and extended nursing care. The facility has been operating for 9 years, supporting residents in recovery and those receiving ongoing skilled nursing care.

Rehabilitation and intensive nursing care are major parts of the home’s care program. Total nurse staffing averages 4 hours and 10 minutes per resident each day, with registered nurses, nurse aides, and LPN/LVN staff all contributing to daily care. The home has a doctor on staff and offers 24-hour professional medical care. There are also dedicated rehabilitation services. The facility’s staffing depth and on-site medical resources make it a great choice for patients recovering from surgery or a hospital stay, or for those managing complex medical needs.

Residents can choose meals through a full-service program based on their individual preferences. Housekeeping, laundry services, and transportation are also available for residents and families. With 24-hour staffing, residents receive ongoing support with daily activities, medications, and any urgent care needs.

State inspections identified areas requiring management attention, including resident monitoring and care documentation practices. Families evaluating the home should ask how these areas are actively being addressed and improved.

The Montclair is an assisted living community in Decatur, Georgia, located at 2100 Clairmont Lake. Juanita Gichana serves as the facility’s administrator. The community has 45 beds and has been in operation for 11 years.

The neighborhood carries a Walk Score of 53 out of 100, which makes it moderately walkable. Some errands can be handled on foot, and there’s a mix of nearby amenities within reach, though residents and visitors will still need transportation for many trips.

Rehabilitation services are available on-site, including physical therapy, occupational therapy, and speech therapy, giving residents access to recovery and mobility support without leaving the property. The community also offers a range of daily comforts: an indoor pool, massage therapy, an on-site hair salon, and a library.

The Montclair runs several named programs for residents, including Happy Hours, organized parties, and off-campus excursions, giving residents regular opportunities for social connection both on and off the property. State inspections at this facility have tended to focus on medication management and staffing and staff credentials, rather than on other aspects of daily operations.

Between its rehabilitation services, range of on-site amenities like the indoor pool and library, and a calendar built around social programs such as happy hours and excursions, The Montclair is positioned as a community that pairs clinical support with a fairly active, socially engaged daily routine.

Discover a vibrant living with The Bungalows at Springfield East located in East Cherokee Street Springfield, MO. This inviting senior living community offers assisted living and respite care services. Luxurious accommodations with several floor plans are available suited to the primary needs of its residents. With its dedicated and supportive team, the community provides an inclusive and engaging environment for everyone be it for personalized care or social engagements. As for respite care, residents can enjoy a short-term continuous stay of up to 60 days.

Experience its wide array of amenities and other services that suit your personal needs. Enjoy the delectable and nutritious meals, a full-service salon, a bistro, daily wellness checks, individualized care plans, and more. Meet new friends and create unforgettable memories in this beautiful place. Equipped with the right tools and people, seniors can surely make the most out of their retirement with the Bungalows at Springfield.

Located in Greene County, The Gardens is a 148-bed senior living community in Springfield, Missouri, operated by BSLC II (Bethesda Senior Living) under administrator Heather Brown The community offers independent living, assisted living, and memory care across a continuum of care, with floor plan options ranging from studios to one-bedroom deluxe units.

CMS-reported staffing data shows LPN coverage at 1h 17m per resident per day, about 40 percent above the Missouri average of 55 minutes, a figure that reflects stronger medication administration and hands-on care presence than most comparable Missouri communities. Weekend total nursing hours run 3h 54m per resident per day, 12 percent above the state average of 3h 29m.

Amenities include a garden, computer lab, and structured activity calendar. The built-in overview describes flexible meal plans, housekeeping and laundry, and pharmacy services within the independent living program.

The Gardens suits older adults in Greene County looking for a planned continuum of care across independent living, assisted living, and memory care within a single Bethesda Senior Living campus in Springfield.